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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARY JO WEIDENBAUM

Active

MARY JO WEIDENBAUM is a Pharmacist healthcare provider located in BRODHEADSVILLE, Pennsylvania. NPI 1639775240 is currently active in the NPPES registry. Verify at CMS.

Pharmacist · BRODHEADSVILLE, PA

Registration Details

NPI Number
1639775240
Provider Type
Individual
Gender
Female
NPI Issued
Dec 9, 2020 (5.6382049446008 yrs)
Last Updated
Dec 9, 2020
License
RP035615T (PA)

Practice Information

Address
CVS PHARMACY
RT 209 AND 115
BRODHEADSVILLE, PA, 18322
Browse PA providers · Browse ZIP 18322
Phone
5709926454
Primary Specialty
Pharmacist
183500000X

Other Pharmacist Providers in BRODHEADSVILLE, PA

Name Credential NPI
RICHARD C QUIGLEY PHARMD 1982995361
DORIS M LANE 1396036679
MR. JOSEPH KEGLOVITS III PHARMD 1144770033
KRISTEN RUDELITCH PHARMD 1922577634
MR. DALE A. MCFARLAND RPH 1295204915
DENNIS JANOSCZYK 1457957201
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.